Pain Doctor Convicted of Over $100 Million Health Care Fraud Scheme | OPA

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A federal jury within the Japanese District of Michigan convicted a Michigan physician in the present day for his position in masterminding and executing a posh scheme to defraud Medicare and different medical insurance applications by administering medically pointless spinal injections in change for prescriptions of excessive doses of opioids to sufferers.

In keeping with courtroom paperwork and proof introduced at trial, Francisco Patino, 66, of Wayne County, excessively prescribed extremely addictive opioids to his sufferers at his medical clinic in Livonia. In change for opioids, these sufferers would obtain (or be billed as if that they had acquired) aspect joint or nerve block injections, each profitable spinal injections. Though these spinal injections had been purportedly meant to deal with persistent ache, proof at trial demonstrated that Patino injected sufferers with out regard to medical necessity. Proof additionally revealed that if sufferers refused to just accept the injections, Patino would withhold their prescriptions for opioids. From January 2012 by July 2017, Patino billed Medicare for extra of those injections than any supplier within the nation. The proof at trial additionally confirmed that in 2016 and 2017, Patino prescribed extra 30-milligram Oxycodone drugs than each different supplier within the state of Michigan.

Patino additionally developed unlawful kickback relationships with at the very least one diagnostic laboratory, beneath which he was paid in change for referring his sufferers’ samples to that lab. The proof confirmed that the labs funneled cash into financial institution accounts held by others, who then distributed the cash to Patino or spent it on his behalf. Patino additionally spent funds he derived from these numerous schemes on jewellery, automobiles, and holidays. A large portion of Patino’s fraud proceeds had been devoted towards the promotion of Patino’s specialised weight-reduction plan program and life-style and wellness ebook. Patino paid Final Preventing Championship and different blended martial arts fighters to advertise the Patino Weight loss plan.

Patino was convicted of 1 rely of conspiracy to commit well being care fraud and wire fraud, two counts of well being care fraud, one rely of conspiracy to defraud the USA and pay and obtain well being care kickbacks, one rely of conspiracy to commit cash laundering, and one rely of cash laundering. He’s scheduled to be sentenced on Jan. 20, 2022, and faces a most whole penalty of life in jail. A federal district courtroom decide will decide any sentence after contemplating the U.S. Sentencing Pointers and different statutory elements.

Assistant Lawyer Common Kenneth A. Well mannered Jr. of the Justice Division’s Legal Division; Assistant Director Calvin Shivers of the FBI’s Legal Investigative Division; and Particular Agent in Cost Lamont Pugh III of the Division of Well being and Human Companies, Workplace of Inspector Common (HHS-OIG) made the announcement.

The FBI’s Detroit Subject Workplace and HHS-OIG investigated the case.

Trial Attorneys Steven Scott and Kathleen Cooperstein of the Legal Division’s Fraud Part are prosecuting the case.

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